The use of TPA in combination with alcohol in the treatment of the recurrent complex hydrocele

Authors

  • Michael Joseph Metcalfe University of British Columbia
  • Rebecca J. Spouge
  • David J. Spouge
  • Christopher Campbell Hoag

DOI:

https://doi.org/10.5489/cuaj.1938

Keywords:

Hydrocele, recurrent, TPA, Alcohol,

Abstract

A hydrocele is an abnormal collection of serous fluid in the space between the parietal and visceral layers of the tunica vaginalis. Hydrocele is the most common cause of painless scrotal swelling which affects about 1% of men. Generally, adult hydroceles are idiopathic in origin; however, inguinal surgery, varicocelectomy, infection, trauma and a patent processus vaginalis are each associated with the subsequent development of a hydrocele. Surgical removal of hydroceles is the gold standard of care. However, multiple cases have reported high success rates (ranging from 85% to 96%) using a combination of aspiration and sclerotherapy. We present a case of a patient with recurring complex hydrocele and effective treatment utilizing a combination of thrombolytic therapy, catheter drainage and subsequent alcohol ablation.

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Author Biographies

Michael Joseph Metcalfe, University of British Columbia

PGY-4

Department of Urologic Sciences

University of British Columbia

Rebecca J. Spouge

McGill University Undergraduate Department of Anatomy and Cellular Biology

David J. Spouge

Lions Gate Hospital,  Medical Imaging Department

Christopher Campbell Hoag

Lions Gate Hospital, Department of Urology

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Published

2014-06-19

How to Cite

Metcalfe, M. J., Spouge, R. J., Spouge, D. J., & Hoag, C. C. (2014). The use of TPA in combination with alcohol in the treatment of the recurrent complex hydrocele. Canadian Urological Association Journal, 8(5-6), e445–8. https://doi.org/10.5489/cuaj.1938

Issue

Vol. 8 No. 5-6 (2014): CUAJ June

Section

Case Report

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